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    Mental status testing

    Mental status exam; Neurocognitive testing

    Mental status testingis done tocheck your thinking ability, and to determine if any problems are getting better or worse. It is also called neurocognitive testing.

    How the Test is Performed

    A nurse, physician, physician assistant, or mental health worker will ask a number of questions. The test can be done in the home, in an office, nursing home, or hospital. Sometimes, a psychologist with special training will do more extensive tests.

    The most common test used is called the mini-mental state examination (MMSE) or Folstein test.

    The following may be tested:


    The health care provider will check your physical appearance, including:

    • Age
    • Dress
    • General level of comfort
    • Gender
    • Grooming
    • Height/weight


    The health care provider will ask questions such as:

    • What is your name?
    • How old are you?
    • Where do you work?
    • Where do you live?
    • What day and time is it?
    • What season is it?


    Attention span may be tested earlier, because this fundamental skill can influence the rest of the tests.

    The provider will want to test:

    • Your ability tocomplete a thought
    • Your ability to think and problem solve
    • Whether you areeasily distracted

    You may be asked to do the following:

    • Start at a certain number, and then begin to subtract backwards by 7s.
    • Spell a word such as "WORLD" forward, and then backward.
    • Repeat up to 7 numbers forward, and up to 5 numbers in reverse order.


    The provider will ask questions related to recent people, places, and events in your life or in the world.

    Three items may be presented, and the person may then be asked to repeat them, and then recall them after 5 minutes.

    The provider will ask about your childhood, school, or events that occurred earlier in life.


    The provider will point to everyday items in the room and ask you to name them, and possibly to name less common items.

    You may be asked tosay as many words as possible that start with a certain letter, or that are part of a certain category, in 1 minute.

    You maybe asked to read or write a sentence.


    This part of the test looks at your abilityto solve a problem or situation. You may be asked:

    • "If you found a driver's license on the ground, what would you do?"
    • "If a police officer approached you from behind in a car with lights flashing, what would you do?"

    Normal Results

    The most commonly used test, the mini-mental state examination (MMSE) or Folstein test, is scored from 0 to 30. The test is also divided up into sections, each one with its own smaller score. These results may help show which part of someone's thinking and memory may be affected.

    What Abnormal Results Mean

    A number of health conditions can affect your mental status.


    Some tests that screen for language problems using reading or writing do not account for people who may never have been able to read or write. If you know that the person being tested has never been able to read or write, tell the health care provider in advance.

    If your child is having any of these tests performed, it is important to help him or her understand the reasons for the tests.


    Snyderman D, Rovner B. Mental status exam in primary care: a review. Am Fam Physician. 2009;80:809-814.


          A Closer Look

            Self Care

              Tests for Mental status testing

              Review Date: 3/26/2012

              Reviewed By: Christos Ballas, M.D., Attending Psychiatrist, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

              The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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